Caries - Still the Most Common Disease

Caries is still the most common disease presenting in the dental office. In children and young adults it’s the resulting carious lesions causing discomfort, pain, risk for pulpal complication and tooth loss needing treatment. Later in adult patients secondary lesions, fractures and pulpal complications require difficult direct restorations, root canal treatment, crowns, bridges and implants.

Traditional treatment of carious lesions in the dentine involves removal of all affected dentine and extending the cavity to further resist re-occurrence of disease – the principle of extension for prevention. The design principles were adapted to the mechanical properties of the most common restorative material – amalgam. Preparation of the tooth according to G.V. Black’s principles means that the amalgam’s need for “resistance form” and “retention form” is supported, but a lot of tooth substance is removed jeopardising the integrity of the pulp and increasing the risk of complicated tooth fractures.

…and a lot of tooth substance is removed…

The disadvantages with amalgam is obvious:
  • Unnatural appearance
  • Tarnish and corrosion
  • Discoloration of tooth structure
  • Lack of adhesion to the tooth structure
  • Mercury toxicity
  • Delayed expansion
Amalgam weakens tooth structure

Mercury in dental amalgam pose threats to the health of patients, to the health of dental care providers and to the environment.

The disadvantages with amalgams have encouraged the development of bonded composite resins over the last 40 years.

Bonding to tooth substrates is now the standard of care for single-tooth direct placement restorations and has been the driving force in changing how we prepare and restore teeth.

The use of adhesives, minimally invasive dentistry (MID) with a more conservative, tooth-structure saving approach when treatment planning restorative dental procedures is possible.

Defective amalgam filling

Bonded composite filling

There are different methods for removal of carious lesions:

Drilling is an effective, fast, established and familiar way to do it.

– So why go for something else?

Drilling always over-prepares the cavity and removes healthy tooth substance!

A report from the International Caries Consensus Collaboration (ICCC) meeting, held in Leuven, Belgium, in February 2015, Published May 2016 stated that the recommendations on Carious Tissue Removal are:

  • Preserve hard tissues and retain teeth long-term
  • Priorities are as follows:
    • preserving healthy and remineralizable tissue
    • achieving a restorative seal
    • maintaining pulpal health
    • maximizing restoration success
  • Tissue removed purely to create conditions for long-lasting restorations

Invasive Preparation

Minimally Invasive Preparation

Next Step

The Chemo-Mechanical Removal of Carious lesions is the next step in modern operative dentistry and CariSolv is the best documented method for more than 20 years!

CariSolv is:

  • Minimally invasive
  • Prevents complications
  • Causes less pain
  • Reduces the need for local anesthesia
  • Better dentine surface for bonding procedures

CariSolv is suitable for

  • Caries in the dentine
  • Open lesions, for example root caries
  • Deep caries lesions close to the pulp
  • Caries in difficult situations e.g. Crown joints
  • Caries in fissures before application of sealants
  • Cleaning cavities: smear layer removal/open tubules

Removing smear layer and opening of the tubules is a prerequisite for a strong bond between tooth and filling:

CariSolv has proven in studies to better prepare the dentine surface

Smear layer removal

Open dentine tubuli

CariSolv has proven in studies to better prepare the dentine surface


CariSolv®

CariSolv is a Swedish innovation and it is an innovative, effective, tissue friendly product based on a buffered hypochlorite technology. Buffered hypochlorite technology is a unique technology composed by a gel (carboxy methylcellulose, sodium chloride and amino acids) and transparent liquid (water, sodium hypochlorite).

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